USMLE

USMLE stands for the United States Medical Licensing Examination. It is a multi-step examination used to assess readiness for medical licensure in the United States. The exam is administered by the National Board of Medical Examiners (NBME) and the Federation of State Medical Boards (FSMB). Historically it consisted of three main steps: Step 1, Step 2 CK, and Step 3; a hands-on Clinical Skills component known as Step 2 CS existed but was discontinued in 2020 due to the COVID-19 pandemic and is no longer offered. The USMLE is required for medical licensure in most U.S. states and is also taken by many international medical graduates seeking residency slots or licensure.

Step 1 covers foundational science concepts such as anatomy, physiology, pharmacology, and pathology. Since 2022, Step 1 results are reported as pass/fail rather than a numerical score, a change intended to de-emphasize the exam in residency selection and to broaden assessment of a student’s capabilities.

Step 2 CK assesses clinical science knowledge across patient care disciplines and continues to be used in residency selection with a numerical score. Step 3, taken after or during the first year of residency, evaluates the ability to apply medical knowledge to patient management and typically uses computer-based multiple-choice questions, with some formats including patient management simulations. Completion of Step 3 is commonly required for full medical licensure in most states.

Eligibility includes graduates of U.S. and international medical schools. Licensure processes vary by state, but the completion of Step 1 (pass), Step 2 CK, and Step 3 is a typical pathway, with state boards setting specific requirements. The program aims to provide a standardized metric across applicants and specialties.